QUALITY ASSESSMENT RESULTS DIAGNOSIS AND TREATMENT OF DIABETES TYPE II-LEVEL MANAGERS IN PRIMARY HEALTH CARE
DOI:
https://doi.org/10.11603/1811-2471.2017.v0.i2.7728Keywords:
assessment of quality, diabetes mellitus, medical care.Abstract
SUMMARY: The aim of the study was the assessment of treatment quality of patients with diabetes mellitus type II in the family policlinic № 4 of Samarkand city carried out by team of medical staff.
Material and Methods. This investigation was carried out in the areas of family policlinic № 4 of Samarkand city. The amount of general population registered to this policlinic was 53556 people. The number of patients on dispenser observation because of different diseases was 31886 people. In order to carry out investigation we select patients with diabetes mellitus, the number of them was 656 patients. For the assessment of quality of treatment of patients with diabetes mellitus we elaborated standards and indicators according to the card of health care system.
Results. In the investigated policlinic № 4 they practically do not have clinical protocols, guidelines and standards on diagnostic and treatment of diabetes mellitus based on evidence, also they have lack of information materials and hand-outs on effective treatment of diabetes mellitus, from 656 patients with diabetes mellitus who were on dispenser observation only 395 patients (60.2 %) got appropriate treatment based on evidence, from 25 general practitioners who worked in the city family policlinic № 4, 15 of them (60 %) know about methods of primary, secondary and tertiary prevention of diabetes mellitus.
Conclusions. As a result of the performed assessment we determined a low treatment quality of patients with the II type of diabetes mellitus within family policlinic № 4 of Samarkand city.
References
Berkow, R.M. (2007). Rukovodstvo po meditsine [Guide to medicine]. Izdatel'stvo «Mir». - Publishing house "Mir", 1025-1035 [in Russian].
Veldanova, MV, Antsiferov, M.B. (2005). Shkola diabeta (rukovodstvo po diabetologii) [School of Diabetes (guide to diabetology)]. 1400 [in Russian].
Denisov, I.I., Ulumbekova, E.B. (2006). Spravochnik 2000 bolezney ot A do Ya. [Directory 2000 diseases from A to Z]. Zdorov'ye – Health, 1200-1234 [in Russian].
Zakhidova, M.Z. et al. (2013). Sbornik klinicheskikh protokolov № 3 (uchebno-metodicheskoye posobiye dlya obshchepraktikuyushchikh vrachey) [Collection of clinical protocols № 3 (educational-methodical manual for general practitioners)]. 253-257 [in Russian].
Nobel, J. (2005). Obshchaya vrachebnaya praktika [General medical practice]. Praktika – Practice, 800-820 [in Russian].
Harrison, T.R. (2002). Vnutrenniye bolezni [Internal illnesses]. Meditsina – Medicine, 1, 2491-2518 [in Russian].
Okorokov, A.N. (2009). Lecheniye bolezney vnutrennikh organov. Rukovodstvo v chetyrekh tomakh [Treatment of diseases of internal organs. The manual is in four volumes]. Meditsinskaya literature - Medical literature, 1, 422-425 [in Russian].
Kurs po povysheniyu kachestva. Materialy treninga (rukovodstvo dlya uchastnikov) [Course on quality improvement. Training materials (guide for participants)]. USAID, ZdravPlus - USAID, ZdravPlus. (2004) [in Russian].
Rakhmanova, N., Narmuhammedova, N.A. (2007). Vnedreniye proyektov povysheniya kachestva meditsinskogo obsluzhivaniya na pervichnom urovne zdravookhraneniya (metodicheskoye posobiye) [Implementation of projects to improve the quality of medical care at the primary level of health care (methodical manual)]. 75 [in Russian].
Materialy seminara po rasprostraneniyu proyektov povysheniya kachestva [Materials of the seminar on the dissemination of quality improvement projects]. USAID, ZdravPlus [in Russian].